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Conversely, when fluid intake is inadequate or fluid losses are excessive, the kidneys conserve water by producing more concentrated urine, which appears darker yellow or amber

However, uncertainties persist regarding the prospects for adverse liver effects that might be inherent to the mechanism of action, as stabilisation of hepatic steatosis would be unwelcome

Endocrinology 144 (5), 20552067

Like other medications in this family, its started at a low dose and increased slowly a process called titration to give the body time to adjust and to keep side effects manageable
Anxiety as a risk factor for menopausal hot flashes: evidence from the penn ovarian aging cohort

And do I feel somehow guilty